Individual
EMMANULLA BRUTUS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5 BELLEVUE AVE, BELLEVILLE, NJ 07109-3508
(561) 843-3121
Mailing address
5 BELLEVUE AVE, BELLEVILLE, NJ 07109-3508
(561) 843-3121
Taxonomy
Speciality
Code
Description
License number
State
164W00000X
Licensed Practical Nurse
Primary
340786
NY
Other
Enumeration date
07/26/2022
Last updated
07/26/2022
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